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Assessing the influence of conflict on the dynamics of sex work and the HIV and HCV epidemics in Ukraine: protocol for an observational, ethnographic, and mathematical modeling study.

Title: Assessing the influence of conflict on the dynamics of sex work and the HIV and HCV epidemics in Ukraine: protocol for an observational, ethnographic, and mathematical modeling study.
Authors: Becker, M
Balakireva, O
Pavlova, D
Isac, S
Cheuk, E
Roberts, E
Forget, E
Ma, H
Lazarus, L
Sandstrom, P
Blanchard, J
Mishra, S
Lorway, R
Pickles, M
Dynamics Study Team
Item Type: Journal Article
Abstract: BACKGROUND: Armed conflict erupted in eastern Ukraine in 2014 and still continues. This conflict has resulted in an intensification of poverty, displacement and migration, and has weakened the local health system. Ukraine has some of the highest rates of HIV and Hepatitis C (HCV) in Europe. Whether and how the current conflict, and its consequences, will lead to changes in the HIV and HCV epidemic in Ukraine is unclear. Our study aims to characterize how the armed conflict in eastern Ukraine and its consequences influence the pattern, practice, and experience of sex work and how this affects HIV and HCV rates among female sex workers (FSWs) and their clients. METHODS: We are implementing a 5-year mixed methods study in Dnipro, eastern Ukraine. Serial mapping and size estimation of FSWs and clients will be conducted followed by bio-behavioral cross-sectional surveys among FSWs and their clients. The qualitative component of the study will include in-depth interviews with FSWs and other key stakeholders and participant diaries will be implemented with FSWs. We will also conduct an archival review over the course of the project. Finally, we will use these data to develop and structure a mathematical model with which to estimate the potential influence of changes due to conflict on the trajectory of HIV and HCV epidemics among FSW and clients. DISCUSSION: The limited data that exists on the effect of conflict on disease transmission provides mixed results. Our study will provide rigorous, timely and context-specific data on HIV and HCV transmission in the setting of conflict. This information can be used to inform the design and delivery of HIV and HCV prevention and care services.
Issue Date: 20-May-2019
Date of Acceptance: 3-May-2019
URI: http://hdl.handle.net/10044/1/80525
DOI: 10.1186/s12914-019-0201-y
Start Page: 16
Journal / Book Title: BMC Int Health Hum Rights
Volume: 19
Issue: 1
Copyright Statement: © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Keywords: Conflict
HCV
HIV
Sex work
Ukraine
Adolescent
Adult
Anthropology, Cultural
Armed Conflicts
Cross-Sectional Studies
Epidemics
Female
HIV Infections
Hepatitis C
Humans
Interviews as Topic
Male
Models, Theoretical
Prevalence
Research Design
Sex Work
Sex Workers
Ukraine
Dynamics Study Team
Humans
Hepatitis C
HIV Infections
Prevalence
Cross-Sectional Studies
Models, Theoretical
Research Design
Anthropology, Cultural
Adolescent
Adult
Ukraine
Female
Male
Interviews as Topic
Epidemics
Sex Workers
Armed Conflicts
Sex Work
1117 Public Health and Health Services
Public Health
Publication Status: Published online
Conference Place: England
Appears in Collections:School of Public Health